GREEN HEALTH SERVICES, LLC
NPI 1598361677
Nurse Practitioner - Family in Orlando, FL

Active since December 05, 2020CLIA 10D2221198 · Waiver
5401 S KIRKMAN RD STE 310, ORLANDO, FL 32819(407) 759-3311(407) 602-0894 Get Directions Write a Review

NPPES record last updated: May 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 29, 2021, Dec 5, 2020 (2 updates tracked since 2020).

About Green Health Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN HEALTH SERVICES, LLC (NPI 1598361677) is a healthcare organization registered as a family in Orlando, Florida and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through April 19, 2027 and lists Kim Susan Williams, Mgr, as its authorized official.

NPPES Registry Identity

NPI1598361677
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGREEN HEALTH SERVICES, LLC
Location Address5401 S KIRKMAN RD STE 310Orlando, FL 32819-7937
Mailing Address5401 S Kirkman Rd Ste 310Orlando, FL 32819-7937 · (407) 759-3311 · Fax (407) 602-0894
Fax(407) 602-0894
Organization SubpartNo
Authorized OfficialKim Susan WilliamsMgr · (407) 759-3311
Enumeration DateDecember 5, 2020
Last NPPES UpdateMay 29, 20212 updates tracked since enumeration
NPPES CertifiedMay 29, 2021
✔ NPI 1598361677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5401 S KIRKMAN RD STE 310, Orlando, FL 32819

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2221198

Green Health Services LLC · Orlando, FL
Active · expires Apr 19, 2027
CLIA Number10D2221198
Laboratory TypeNurse Practioner
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorKim S. Williams
Laboratory Phone(407) 759-3311
Laboratory LocationGreen Health Services LLC5401 S Kirkman Rd Ste 310, Orlando, FL 32819
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Family Medicine
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Social Worker (Clinical)
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Internal Medicine
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Clinic/Center (Health Service)
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Nurse Practitioner (Psychiatric/Mental Health)
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Counselor (Mental Health)
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819
Counselor (Mental Health)
5401 S KIRKMAN RD STE 310
ORLANDO, FL 32819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Health Services, LLC's NPI number?

The NPI number for Green Health Services, LLC is 1598361677. It was assigned to this organization in the NPPES registry on December 5, 2020.

Where is Green Health Services, LLC located?

Green Health Services, LLC is located at 5401 S Kirkman Rd Ste 310, Orlando, FL 32819. The listed phone number is (407) 759-3311.

What is Green Health Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Green Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2221198) is associated with this NPI, valid through April 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Green Health Services, LLC was last updated on May 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.